Individual provider Active NPI

Ewa Florczak, LCPC

  • Professional Counselor
  • Arlington Heights, IL
National Provider Identifier
1972093078
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180010476 Issued in IL
Practice address
3325 N Arlington Heights Rd Ste 400
Arlington Heights, IL 60004-1582
Phone
(847) 794-0514
NPI assigned
May 14, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 180010476 IL Primary

Addresses

Primary practice location

3325 N Arlington Heights Rd Ste 400
Arlington Heights, IL 60004-1582

Mailing address

4153 N Plainfield Ave
Chicago, IL 60634-1038
Phone (773) 936-3269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
180010476ILMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1972093078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4153 N PLAINFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606341038",
            "telephone_number": "773-936-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 N ARLINGTON HEIGHTS RD STE 400",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041582",
            "telephone_number": "847-794-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORCZAK",
        "first_name": "EWA",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180010476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.